institution
Mt. Timpanogas Fertility & Endocrinology, Pllc
Medical Physician Assistant in Sandy, Utah
NPI 1871976985

Mt. Timpanogas Fertility & Endocrinology, Pllc is a Medical Physician Assistant based in Sandy, UT and is specialized in Medical. Mt. Timpanogas Fertility & Endocrinology, Pllc practices in Sandy, UT. The NPI Number for Mt. Timpanogas Fertility & Endocrinology, Pllc is 1871976985 and holds a License No. (Utah).

The current practice location address for Mt. Timpanogas Fertility & Endocrinology, Pllc is 880 E 9400 S Ste 112, Sandy, UT and can be reached out via phone at 801-938-9627 and via fax at 801-666-6915.

Location: 880 E 9400 S Ste 112, Sandy, UT, 84094-4134
institution
Provider Profile Details
NPI Number
1871976985
Provider Name
Mt. Timpanogas Fertility & Endocrinology, Pllc
Credential
Provider Entity Type
Organization
Address
880 E 9400 S Ste 112, Sandy, UT, 84094-4134
Phone Number
801-938-9627
Fax Number
801-666-6915
Provider Enumeration Date
07/07/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356319842 01 UT INDIVIDUAL NPI #
1356319842 05 UT
institution
Provider Business Practice Location Address Details
Address
880 E 9400 S Ste 112
City
State
Zip
84094-4134
Phone Number
801-938-9627
Fax Number
801-666-6915
person
Provider Business Mailing Address Details
Address
880 E 9400 S Ste 112
City
State
Zip
84094-4134
Phone Number
801-938-9627
Fax Number
801-666-6915
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
6814504-1206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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